Development of a Care Model for Preventing Repeat Pregnancy among Adolescent Mothers in Phetchaburi Province
Keywords:
Repeat Pregnancy, Model, Care, Adolescent Mothers, Semi-Permanent ContraceptionAbstract
This research and development aimed to develop and evaluate effectiveness of a care model for preventing repeat pregnancy among adolescents mothers in Phetchaburi province. The study consisted of 3 steps. First step was the situation analysis, and care service development needed for preventing repeat pregnancy among adolescent mothers. Second step was the development of the care model approved by 5 senior experts. Third step was an evaluation of effectiveness of the developed model. The sample for experiment were 30 first pregnant adolescent mothers that received antenatal care service. Research tools consisted of the developed model, the readiness ruler of long term contraception level (Pearson coefficient=0.93), and a questionnaire of adolescent mothers’ satisfaction on healthcare service (cronbach alpha coefficient=0.85). Data were analyzed by descriptive statistics, Wilcoxon signed-rank test, and content analysis. Results revealed the followings.
1. Percentage of repeat pregnancy among adolescent mothers in Phetchaburi province was 18.9%. Live birth rate in women aged 15-19 years old per 100 women aged 15-19 years old was 44.3.
2. The developed model consisted of 3 main processes: a) developing management system, b) providing amicable care service for preventing repeat pregnancy, and c) repeat pregnancy prevention maintenance, follow-up evaluation, and consultation until 2 years after childbirth.
3. The effectiveness of developed model was evaluated by: a) the availability of long term contraception in adolescent mothers whose post-experiment's increased from pre-experiment’s at .001 statistical significant level (p<.001), b) the adolescent mothers’ satisfaction about received care service, which was at very good level (M=4.55, SD=0.49), c) the percentage of adolescent mothers with semi-permanent contraception within 3 months after childbirth, which was 67%, and d) the percentage of repeat pregnancy within 2 years in adolescent mothers, which was 10%, not exceeding department of health’s limit.
Potential development of multidisciplinary teams in consultation, husband and family participation on apparent life goal decision and family planning would help adolescent mothers decide a proper long term contraceptive method.
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